Organization Active NPI

Valley Chiropractic Assoc PC

  • Chiropractor
  • Pleasant Valley, NY
National Provider Identifier
1477602167
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010392 Issued in NY
Legal business name
VALLEY CHIROPRACTIC ASSOC PC
Practice address
1579 Main St
Pleasant Valley, NY 12569-0714
Phone
(845) 635-8484
Fax
(845) 635-8491
NPI assigned
Jan 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Antonino G Incorvaia, DC
Title
President
Phone
(845) 635-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010392 NY Primary

Addresses

Primary practice location

1579 Main St
Pleasant Valley, NY 12569-0714

Mailing address

PO Box 714
1579 Main St
Pleasant Valley, NY 12569-0714
Phone (845) 635-8484

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477602167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714",
            "address_2": "1579 MAIN ST",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125690714",
            "telephone_number": "845-635-8484",
            "fax_number": "845-635-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 MAIN ST",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125690714",
            "telephone_number": "845-635-8484",
            "fax_number": "845-635-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CHIROPRACTIC ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INCORVAIA",
        "authorized_official_first_name": "ANTONINO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-635-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.